ASHLEY GALE BLACK DO - Medical Doctor License in Illinois | # 036131207

ASHLEY GALE BLACK DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131207

License Status

ACTIVE

Business

N

Title

DO

First Name

ASHLEY

Middle

GALE

Last Name

BLACK

Business Name

ASHLEY GALE BLACK DO

Original Issue Date

08/21/2012

Effective Date

04/19/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/19/2025